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Nonprofiteer
← ST ANDREWS HOSPITAL

Form 990 for tax year 2022

Filed by ST ANDREWS HOSPITAL.

Totals

Total revenue
$15,579,190
Total expenses
$15,705,703
Contributions and grants received
$324,781
Grants paid
$0
Program service revenue
$15,182,737
Investment income
$71,672
Other revenue
$0
Total assets, end of year
$12,661,512
Total liabilities, end of year
$2,678,889
Net assets or fund balances, end of year
$9,982,623
Program services expenses (Part IX)
$13,662,421
Management and general expenses
$2,043,282
Fundraising expenses
$0
Program service expenses (Part III)
$13,662,421

Program services were 87.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $97,246

  • 1e · Government grants (contributions)

    $216,896

  • 1f · All other contributions, gifts and grants

    $10,639

  • 2a · Program service revenue: Patient Service Revenue

    total $14,886,816 · related or exempt $14,886,816

  • 2b · Program service revenue: Congregate Housing

    total $127,868 · related or exempt $127,868

  • 2c · Program service revenue: Management Fee

    total $26,565 · related or exempt $26,565

  • 2f · All other program service revenue

    total $141,488 · related or exempt $141,488

  • 3 · Investment income

    total $71,672 · excluded $71,672

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $6,240,868 · program services $5,575,024 · management and general $665,844

  • 8 · Pension plan contributions

    total $147,527 · program services $131,787 · management and general $15,740

  • 9 · Other employee benefits

    total $857,434 · program services $765,954 · management and general $91,480

  • 10 · Payroll taxes

    total $437,441 · program services $390,770 · management and general $46,671

  • 11b · Fees: legal

    total $4,812 · management and general $4,812

  • 11c · Fees: accounting

    total $48,000 · management and general $48,000

  • 11g · Fees: other

    total $3,811,264 · program services $3,126,011 · management and general $685,253

  • 12 · Advertising and promotion

    total $31,694 · program services $984 · management and general $30,710

  • 13 · Office expenses

    total $464,532 · program services $337,360 · management and general $127,172

  • 16 · Occupancy

    total $373,936 · program services $331,009 · management and general $42,927

  • 17 · Travel

    total $35,567 · program services $12,774 · management and general $22,793

  • 18 · Travel or entertainment for public officials

    total $10,711 · program services $10,711

  • 20 · Interest

    total $10,312 · program services $8,987 · management and general $1,325

  • 22 · Depreciation, depletion and amortization

    total $405,452 · program services $353,354 · management and general $52,098

  • 23 · Insurance

    total $102,702 · program services $102,702

  • 24a · Other expenses: Medical Supplies

    total $2,055,689 · program services $2,055,689

  • 24b · Other expenses: Repairs and maintenance

    total $392,233 · program services $294,128 · management and general $98,105

  • 24c · Other expenses: Food

    total $128,572 · program services $128,572

  • 24e · All other expenses

    total $146,957 · program services $36,605 · management and general $110,352

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $436,026 · end of year $1,651,179

  • 4 · Accounts receivable

    beginning of year $1,963,989 · end of year $2,494,961

  • 8 · Inventories for sale or use

    beginning of year $360,466 · end of year $392,378

  • 9 · Prepaid expenses and deferred charges

    beginning of year $225,472 · end of year $244,216

  • 10a · Land, buildings and equipment: cost or other basis

    $11,366,015

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,787,931

  • 10c · Land, buildings and equipment, net

    beginning of year $2,443,728 · end of year $2,578,084

  • 12 · Investments: other securities

    beginning of year $3,177,010 · end of year $3,822,200

  • 15 · Other assets

    beginning of year $2,586,158 · end of year $1,478,494

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,105,433 · end of year $1,119,751

  • 19 · Deferred revenue

    beginning of year $57,418 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $2,750 · end of year $3,250

  • 23 · Secured mortgages and notes payable

    beginning of year $241,233 · end of year $109,308

  • 24 · Unsecured notes and loans payable

    beginning of year $84,009 · end of year $58,450

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,388,130

  • 27 · Net assets without donor restrictions

    beginning of year $8,824,100 · end of year $9,011,227

  • 28 · Net assets with donor restrictions

    beginning of year $877,906 · end of year $971,396

Mission and programs · 2022

Mission

St. Andrew's Health Center, in union with the Sisters of Mary of the Presentation, works for the glory of God by bringing the Word and Healing of Jesus Christ to all, with a special concern for the poor and elderly. Through the shared ministry with the laity, St. Andrew's Health Center participates in the health care mission in the work of healing which is the work of God. Our individual inspiration is Jesus and His Gospel message. Permeated with the Charism of the Sisters of Mary of the Presentation, we minister to one another and to all who come to us for care.

Activities or mission (Part I)

Acute care critical access hospital

  • SMP Health - St. Andrew's (Health Center), is a 25-bed acute care hospital and a senior apartment facility located in Bottineau, North Dakota. SMP Health - St. Andrew's has been a part of the community since 1913. Our mission is to provide services to all who come to us for care; this is something that we are very proud of. Our ability to better the lives of those most in need is the core of our beliefs and knowing that we can make a difference in the lives of those we serve. In addition, we believe that through our leadership and presence in the community that we have been and will continue to be an essential part of the healthcare delivery team. Statement continued on Schedule O.St. Andrew's Hospital is designated as a Critical Access Hospital and has had the designation since July 2001. There were 390 acute patient days and 4,108 swing-bed days. The percent of occupancy was 49.3%.We continue to utilize "The Guide for Planning and Reporting Community Benefit" book that was prepared by the Catholic Health Care Association to help determine what qualifies as a community benefit. We attend a variety of educational opportunities throughout the year to provide direction in reporting on our benefits to the community.The Hospital provides healthcare services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Health Center does not pursue collection of these amounts, they are not reported as patient service revenue. The estimated cost of providing these services was $31,000 for the year ended September 30, 2023, calculated by multiplying the ratio of cost to gross charges for the Health Center by the gross uncompensated charges associated with providing charity care to its patients.St. Andrew's also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable.

    Expenses $13,662,421 · Revenue $15,182,737

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Jeremi Tweed

    Chair

    Total calculated
    $0
    Hours/week
    0.3

  • Melissa Block

    Vice Chair

    Total calculated
    $0
    Hours/week
    0.3

  • Sr Debra Berry

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Dan Bullinger

    Director until June 2023

    Total calculated
    $0
    Hours/week
    0.3

  • Dwane Getzlaff

    Director

    Total calculated
    $0
    Hours/week
    0.3

  • Rick Gustafson

    Director

    Total calculated
    $0
    Hours/week
    0.3

  • Sr Anne Germaine Picard

    Director

    Total calculated
    $0
    Hours/week
    0.3 + 1.5 related

  • Christopher Albertson

    President & CEO

    Total calculated
    $382,850
    From this org
    $0
    From related orgs
    $327,832
    Other
    $55,018
    Hours/week
    20 + 23 related

    Schedule J breakdown matched by us

    Base
    $0 + $278,723 related
    Bonus
    $0 + $27,563 related
    Other
    $0 + $21,546 related
    Deferred
    $0 + $21,026 related
    Nontaxable benefits
    $0 + $36,636 related
    Filer's total
    $0 + $385,494 related

  • Collin Serienko

    Director as of July 2023

    Total calculated
    $0
    Hours/week
    0.3

  • Courtney Vandal

    CFO

    Total calculated
    $153,407
    From this org
    $0
    From related orgs
    $115,991
    Other
    $37,416
    Hours/week
    40 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $108,800 related
    Bonus
    $0 + $7,000 related
    Other
    $0 + $191 related
    Deferred
    $0 + $6,520 related
    Nontaxable benefits
    $0 + $32,080 related
    Filer's total
    $0 + $154,591 related

  • Robert Hamilton MD

    Family Medicine Physician

    Total calculated
    $284,672
    From this org
    $254,956
    From related orgs
    $0
    Other
    $29,716
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $254,956
    Bonus
    $0
    Other
    $0
    Deferred
    $8,041
    Nontaxable benefits
    $21,901
    Filer's total
    $284,898

  • Heather Bowen

    Nurse Practitioner

    Total calculated
    $180,641
    From this org
    $164,434
    From related orgs
    $0
    Other
    $16,207
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $164,434
    Bonus
    $0
    Other
    $0
    Deferred
    $3,006
    Nontaxable benefits
    $13,426
    Filer's total
    $180,866

  • Steve Arnold NP

    Nurse Practitioner

    Total calculated
    $177,478
    From this org
    $152,268
    From related orgs
    $0
    Other
    $25,210
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,268
    Bonus
    $0
    Other
    $0
    Deferred
    $5,000
    Nontaxable benefits
    $20,435
    Filer's total
    $177,703

  • Brenda McIntyre

    RN

    Total calculated
    $190,114
    From this org
    $161,864
    From related orgs
    $0
    Other
    $28,250
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,864
    Bonus
    $0
    Other
    $0
    Deferred
    $8,041
    Nontaxable benefits
    $20,351
    Filer's total
    $190,256

  • Cory Miller MD

    Family Medicine Physician

    Total calculated
    $180,088
    From this org
    $158,846
    From related orgs
    $0
    Other
    $21,242
    Hours/week
    20

    Schedule J breakdown matched by us

    Base
    $158,846
    Bonus
    $0
    Other
    $0
    Deferred
    $5,113
    Nontaxable benefits
    $16,129
    Filer's total
    $180,088

  • Alfred Sams

    Former President & CEO

    Total calculated
    $379,561
    From this org
    $0
    From related orgs
    $323,652
    Other
    $55,909
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $294,443 related
    Bonus
    $0 + $22,785 related
    Other
    $0 + $6,424 related
    Deferred
    $0 + $24,551 related
    Nontaxable benefits
    $0 + $33,809 related
    Filer's total
    $0 + $382,012 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
St. Andrew's Hospital does not pay compensation to the President & CEO. The President & CEO position is compensated by Sisters of Mary of the Presentation Health System, a related organization, for services to the Hospital. Sisters of Mary of the Presentation Health System uses one or more of the methods in Part I, question 3 to determine compensation.
Part I, Line 4b
SMP Health has a nonqualified deferred compensation plan that complies with Section 409A of the IRC. SMP Health begins contributions into the plan after the employee's first year of service. The employee is vested based on a 20 year vesting schedule or becomes fully vested in the event of death, disability or reaching the age of 65. Employee name and amounts included on Schedule J are as follows: Name Part II, column B (iii) Part II, column C Alfred Sams 424 2,076 Courtney Vandal 191 1,309 Christopher Albertson 15,546

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
9 August 2024
IRS schema version
2022v5.0
Source object
202432259349302323

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